Download April 26th,2006 - Angelina College

Angelina College
Health Careers Division
EMSP 2348 Emergency Pharmacology
General Syllabus
I.
COURSE DESCRIPTION:
EMSP 2348. Emergency Pharmacology.
Revised 05/10/2016
Three hour credit. A comprehensive course covering all aspects of the utilization of medications in treating emergency
situations. Discuss general pharmacological terminology, administration routes and procedures, and drug dose
calculation; and identify pharmacodynamics, pharmacokinetics, and drug profiles of various medications used in out-ofhospital medical care. Prerequisites: EMT Basic and Current Provider CPR card, EMSP 1261, EMSP 2160. EMSP 1355,
EMSP 1356, EMSP 1438. Co-requisites: EMSP 2261, 2338.
Perspective of the courses: EMSP 2348: Medication administration will be an important part of the medical care the
student will provide as a paramedic. The student may have to use medications to correct or prevent many lifethreatening situations or to stabilize or comfort a patient in distress. A paramedic must be skilled in drug
administration. Specific drugs require specific routs and administration techniques. Their effectiveness depends directly
upon their correct route of delivery. Incorrect or sloppy drug administration can have tremendous legal implications for
the paramedic. More importantly, it equates to poor care that can harm or even kill the patient. Pharmacology is a
cornerstone of paramedic practice. Paramedics must have a solid understanding of its foundations (legal issues,
terminology, drug forms, and routes), pharmacokinetics, and pharmacodynamics if they are to practice their profession
safely. Additionally, paramedics must understand not only the medications they personally administer, but also the
medications that their patients are taking on an ongoing basis.
INTENDED AUDIENCE: Second-Year Students who have already completed the EMT course and the first semester of the
Paramedic course.
INSTRUCTOR:
Instructor’s Name: Janice Hartsfield - HC 105A
Office Hours: Tuesday-Thursdays 8 a.m. – 12 p.m.
Phone: (936) 633-5420
E-mail Address: [email protected]
II. INTENDED STUDENT OUTCOMES
A. Core Objectives Required for this Course
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of
information
2. Communication: to include effective development, interpretation and expression of ideas through written,
oral and visual communication
3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable
facts resulting in informed conclusions
4. Teamwork: to include the ability to consider different points of view and to work effectively with others to
support a shared purpose or goal
5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decisionmaking
6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the
ability to engage effectively in regional, national, and global communities
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B.
Course Learning Outcomes
Upon completion of EMSP 2348 the student will have the knowledge and skills to:
Cognitive
1.
2.
3.
4.
Use theoretical knowledge gained in the courses to assess needs of the patient and then implement
patient care based on those needs.
Formulate a treatment plan intended to mitigate emergencies and improve the overall health of the
patient.
Plan different assessment strategies for different patient needs, whether they are acute or chronic
conditions.
Make decisions on medication administration procedures and techniques that are appropriate to the age
and condition of the patient.
Affective
1.
2.
3.
Function as an interdependent member of the pre-hospital health care team and be able to provide care
in the pre-hospital environment to the level of the EMT-Intermediate/Paramedic.
Identify legal responsibilities and ethical dilemmas in patient care situations.
Select educational programs to improve pre-hospital medical skills and gain more knowledge for direct
patient care.
Psychomotor
1.
2.
3.
Prepare medications for administration from a variety of types of packaging, including vials, ampules,
prefilled syringes, and packaging for intravenous solutions.
Safely administer medications by the percutaneous, pulmonary, enteral, and parenteral routes of
administration.
Use advanced administration procedures and techniques that are appropriate to the age and condition of
the patient.
C.
Course Objectives
Unit I
Volume 2 – Chapter 4 – Intravenous Access and Medication Administration
1. Integrate comprehensive knowledge of pharmacology to formulate a treatment plan intended to mitigate
emergencies and improve the overall health of the patient.
2. Apply concepts of pharmacology to the assessment and management of patients.
Volume 2-Chapter 3 – Page 139 - Emergency Pharmacology
1.
III. ASSESSMENT MEASURES
A.
Assessments for the Core Objectives:
1. Critical Thinking: to include creative thinking, innovation, inquiry, analysis, and evaluation and synthesis of
information
2. Communication: to include effective development, interpretation and expression of ideas through written, oral
and visual communication
3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable
facts resulting in informed conclusions
4. Teamwork: to include the ability to consider different points of view and to work effectively with others to
support a shared purpose or goal
5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decisionmaking
6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the
ability to engage effectively in regional, national, and global communities
B.
Assessments for Course Learning Outcomes
Not Applicable for the Emergency Medical Care Program
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D.
Assessments for the Objectives of the Course as determined by the Instructor –
IV. INSTRUCTIONAL PROCEDURES –
A.
Methodologies common to all sections
Teaching utilized in this course includes familiarization with examinations, skill evaluation, and equipment which
will occur through explanation, observation, demonstration, guided practice, and evaluation.
B. Methodologies determined by the instructor
One or more of the following methods will be employed:
Lecture
Discussion
Demonstration
Blackboard (MOR)
Performance
Audiovisual aids
Programmed Instruction
Individualized Instruction (as needed)
METHODS OF EVALUATION:
1. Lecture: Written Unit Examinations, Daily Quizzes, Professional (affective) Behavior
2. Lab: Performance Evaluation of skills and simulations
ASSIGNMENTS: Students will be given written and/or laboratory assignments throughout the semester which will
correlate with the criterion objectives.
V. COURSE REQUIREMENTS AND POLICIES –
A. Required Textbooks, Materials and Equipment –
Bledsoe, Porter, Cherry Principles and Practice 4th Edition –
1. Volume 2 Paramedicine Fundamentals
2. Syllabi and Handouts. A medical dictionary would be helpful but not required. A student may bring tape
and or digital recorders. Cell phones must be on silent mode
B. Assignments – Class meets Mondays and Wednesdays 8:00AM – 5:00 PM
Date
Assignment
Exam
Lecture
6-6
Chapter 4
none
C 4 – Medication Admin
C 3 – Basic Pharmacology
6-8
Chapter 4
Quiz
C 3 – Classifying Drugs
6-13
Chap 3
6-14
6-15
6-20
6-22
6-27
6-28
6-29
7-05
7-7
SIMULATIONS
Chap 3
Chapter 3
Chap 3
Chap 3
SIMULATIONS
Chap 3
Chap 3
Continue
Lab
IVPB, Needle Crich
IVPB, Needle Crich
CPAP and PEEP
Pleural Decompression
Cardioversion
Defibrillation
Pacing
Quiz
C3–
Nervous System Drugs
Exam 1
Quiz
Quiz
Quiz
C3–
C3
C3
C3
Nervous System Drugs
Cardiovascular System
Respiratory System
Gastro, Eyes and Ears
SCENARIOS
SCENARIOS
SCENARIOS
SCENARIOS
Quiz
Quiz
Exam 2
C3
C3
C3
Endocrine, Poisoning & OD
Endocrine/Poisoning
Skills/Scenario Make-Up
SCENARIOS
SCENARIOS
Skill Make-Up
The methods of instruction used in this course includes but not limited to the following: Lecture, lab, discussion,
performance, audiovisual, computer assisted instruction and critical-thinking patient case studies, and blackboard
learning systems.
C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College
Handbook.)
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Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II
of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see
Karen Bowser, Room 200 of the Student Center. At a post-secondary institution, you must self-identify as a
person with a disability; Ms. Bowser will assist you with the necessary information to do so.
Attendance – This course will follow the guidelines as prescribed in the Angelina College Handbook.
Additional Specific Requirements for this Course – When a student does not officially withdraw in the Office of
Admissions, an F will appear on the transcript for the course (s) in progress at that time.
All exams and written assignments become the property of the Angelina College Emergency Medical Program.
Requirements for Course Completion:
A. Skills - Students must demonstrate proficiency in all skill areas. The student must pass all critical areas of the
skills and score the requisite score as outlined by the state on the skill sheets. A MAXIMUM OF THREE
ATTEMPTS WILL BE ALLOWED ON ANY SKILL. Students will receive a grade by their skills performance. For
each skill failed that must be re-evaluated, the student will have 5 points deducted from a total of 100.
Paramedic Skills include: Drug Administration (IM, Subcutaneous, IV Push, Endotracheal, and Piggyback),
Cardioversion, and Defibrillation. Skills will be taught and may be tested any day after that. If you are absent on
a skill test day, the skills missed will be result in a 5 point, skill-grade deduction.
B. Knowledge - Students must demonstrate adequate theoretical knowledge of course content on written
examinations. A minimum of 75 must be maintained on the overall program course. A minimum of a 75
average must be maintained on the 2 unit (major) exams.
C. Personal attitude - Each student must demonstrate conscientiousness and interest in the course. Students
will be encouraged and expected to develop and exhibit the proper attitude expected of a pre-hospital care
professional.
D. Attendance - Students absent from any part of the course will be required to make up missed sessions or
materials as prescribed by the Course Instructor. Tardies are ½ absences. 2 Absences will result in being
dropped from course. Roll will be called first thing in the morning, first thing in the afternoon and/or at the end
of the day. If you are not present for roll call you will be counted absent for that part of the day. If you leave
early, you will be counted absent for that part of the day. You may seek readmission from Dr. Patricia McKenzie.
Any absence after readmission, or 2nd absence, will result in a 5 point deduction from the overall grade.
E. Hospital Observation - A minimum number of hours in hospital observation is required:
See syllabus for EMSP 2261.
F. Clinical EMS Internship – See syllabus for EMSP 2261.
G. The student will, at a minimum during clinical, successfully demonstrate patient assessment, basic life
support, advanced life support consistent with this course and the ability to work with other medical personnel,
both in the hospital and in the pre-hospital setting. In addition, the paramedic student will document a
minimum of fifteen (15) successful peripheral IV's and document a minimum of three (3) successful
endotracheal intubations.
H. All clinical and all skills should be completed by the deadlines stated in the clinical syllabi.
Instructor Policies
The established and published class times are to be observed. Students who arrive late provide
disruption to classes that have already begun. You are expected to be in your seat, ready to begin work at 8:00.
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Roll will be called at that time. The absence/tardy procedure will follow the student handbook and college
policy. The last days to drop are located in the college bulletin. Students wishing to withdraw must drop or an F
may be given for the course.
If you are absent on a day in which an examination is administered, it will be your responsibility to speak
with the instructor regarding a make-up date. Exams will be made up within one week from the day the student
returns to class. Make-up exams may include multiple-choice, fill in the blank, short answer or essay questions.
The composition of the exam will be at the discretion of the instructor.
All quizzes will be taken on Blackboard. Quizzes must be taken within the allotted time. Quizzes will not
be made up, nor will the deadline for the quizzes be extended.
According to the college handbook, academic dishonesty to include, but not limited to cheating,
plagiarism, and collusion will not be tolerated. Violation of this policy will result in a grade of zero on the
assignment or examination in question.
Pagers, cell phones are to be turned to silent. Students will be dismissed from class if this policy is not
followed.
PERSONAL AND PROFESSIONAL STANDARDS:
Students must abide by the standards of conduct as described in the current Angelina College Student
Handbook and conduct themselves as mature and responsible health care professionals at all times!
Disciplinary action(s) for students will follow Angelina College policy. It is also the programs' intention to
conduct any disciplinary problems within the confines of the program, but will follow the chain of command
outlined by the AC Student Handbook. Students are RESPONSIBLE for reading the handbook. Violations of the
rules and regulations of Angelina College as described in the handbook and/or the program/syllabus
requirements as described herein will result in counseling. Students will be suspended from the program with a
grade of "F" given following three disciplinary counseling sessions OR at the discretion of the Program
Coordinator if it is deemed necessary that the student's action(s) are considered a potential danger to life or
property.
Any student may be asked to withdraw OR dropped by the instructor/coordinator from the program if
either academic, clinical, or personal performance or attitude is determined to be inconsistent with the
minimum standards of training OR with professional conduct. Students may be dropped from the program by
the instructor/coordinator in accordance with the policies set forth by the college and/or this program/syllabus.
A student who has a grievance with an Instructor will follow the procedure in the student handbook.
Failure to complete requirements can result in the student being dropped from the course. It is also
important to note that any student who fails to maintain immunizations (ie: keeping on Hepatitis series,
obtaining required Titers, etc.) Will be dropped from the course! The responsibility for maintaining these
records are the student’s responsibility, not the Instructor's to remind the student. These must be completed
and turned in prior to starting clinical rotations.
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CLASSROOM/LAB DRESS CODE:
The dress code for classroom and skills lab MUST be clothing that you can move around in and perform skills
practice on the floor. Dresses/skirts will be avoided since laboratory performance will be hindered by such
clothing. Since the temperature in both the classroom and lab are sometimes difficult to manage (ie. too hot or
too cold), students are encouraged to bring appropriate clothing that will make them comfortable as long as it
fits the classroom dress code.
1.
Clothing will be loose and/or comfortable BUT NOT revealing/offensive.
2.
Hair longer than shoulder length MUST be put up during ALL lab sessions. Also, any hair that falls
forward into the face area while leaning forward must be secured.
3. Sunglasses will not be worn in the classroom or lab; ball caps will not be worn in the lab. Students will be
required to remove all jewelry except a watch, wedding band, an "invisible" necklace, and small/stud
earrings.
VI.
COURSE CONTENT – A set of cognitive, psychomotor and affective objectives has been developed by the
U.S. Department of Transportation for the Paramedic Curriculum. In addition New Educational Standards
have been developed by NHSTA, National Highway Traffic Safety Administration and can be accessed
through the internet. The education standards will be taught and Angelina College will comply with
requirements to meet National Accreditation Standards.
VII.
EVALUATION AND GRADING
A. Grading Criteria –
1. Lecture
Exam 1
Exam 2
A minimum average of75 is required on these exams.
Homework /quiz/ skill average
33.33 %
33.33%
33.34 %
100%
An overall average of 75 must be maintained to proceed to the next course or semester.
NO EXAM MAY BE RETAKEN TO IMPROVE YOUR AVERAGE OR PASS THE COURSE.
2.Laboratory:
Performance Evaluation (as needed) See skills above.
B. Determination of Grade –
The alphabetic grading for this course is as follows:
A = 90 - 100
B = 80 - 89
C = 75 - 80
D = 65 - 74
F = 64 & below
C. Extra Credit –
Extra Credit may be available. It is added to the quiz average if the student has met both criteria above for
passing the course. That is an overall average of 75 and an exam average of 75
VIII. SYLLABUS MODIFICATION –
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class
in advance as to the changes being made.
Angelina College admits students without regard for race, color, creed, sex, national origin, age, religion, or
disability. Inquiries concerning sex equity, disability or age should be directed to Dr. Patricia McKenzie at (936)
633-5201, Angelina College Administration building, Room A 105.
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NOTICE
 Safety Data Sheet (SDS) Book
A Safety Data Sheet is a document that contains information on the chemical make-up, use,
storage, handling, emergency procedures and potential health effects related to a hazardous
material. The SDS contains much more information about the material than the label on the
container. SDS’s are prepared and written by the manufacturer of the material.
The SDS sheets are accessible at all times & are kept in the following location(s):
Health Careers I:
A.
B.
C.
D.
EMS Lab: Room 105
Surgical Tech Lab: Room 203
Vocational Nursing Lab: Room 200
Associates Nursing Lab: Room 203
 Plan & Procedures Book (Includes the following)
These reference items are accessible at all times & are kept in the following location(s):
Health Careers I: In the main office, on the wall next to the printer.
1. Plans
 Universal Waste Plan
 Hazardous Waste Plan
 Chemical Waste Plan
 Exposure Control Plan
2. Procedures
 Battery Disposal
 Lamp Disposal
 Pesticide Disposal
 Mercury Containing Equipment Disposal
 Paint & Paint Related Waste Disposal
 Electronic Waste Disposal
 Medical Waste Disposal
 Chemical Waste Disposal
 Spill Cleanup
Please insure that students know these items exist, where they are located and how they are used.
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